B R BOEHMER MD PA
NPI 1447565627
Clinic/Center in Burley, ID

Active since August 12, 2010
1335 ALBION AVE, BURLEY, ID 83318(208) 878-2271 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About B R Boehmer Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

B R BOEHMER MD PA (NPI 1447565627) is a healthcare organization registered as a clinic/center in Burley, Idaho and active in the NPI registry since August 2010. The organization lists Bernard R Boehmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1447565627
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameB R BOEHMER MD PA
Location Address1335 ALBION AVEBurley, ID 83318-1817
Mailing Address1335 Albion AveBurley, ID 83318-1817
Organization SubpartNo
Authorized OfficialBernard R BoehmerOwner · (208) 878-2271
Enumeration DateAugust 12, 2010
✔ NPI 1447565627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in ID · M6848
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1335 ALBION AVE, Burley, ID 83318

Other Identifiers 2

Medicaid002799800ID
Medicare UPING28504ID

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

B R Boehmer Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20100907001126Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to B R Boehmer MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1902891484
1335 ALBION AVE
Burley, ID 83318
(208) 878-2271
✔ PECOSSame address
General Practice
NPI 1336563063
1335 ALBION AVE
Burley, ID 83318
(208) 878-2271
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is B R Boehmer MD PA's NPI number?

The NPI number for B R Boehmer MD PA is 1447565627. It was assigned to this organization in the NPPES registry on August 12, 2010.

Where is B R Boehmer MD PA located?

B R Boehmer MD PA is located at 1335 Albion Ave, Burley, ID 83318. The listed phone number is (208) 878-2271.

What is B R Boehmer MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is B R Boehmer MD PA enrolled in Medicare?

Yes. B R Boehmer MD PA is registered in the Medicare PECOS enrollment system.

When is B R Boehmer MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through B R Boehmer MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to B R Boehmer MD PA, in Family Practice and General Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does B R Boehmer MD PA accept?

Health plans from Molina Healthcare list B R Boehmer MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for B R Boehmer MD PA was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.